# KSY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KSY Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629487079
- **Authorized official:** MS. KAREN SANDRA RICKETTS RN (PRESIDENT/OWNER)
- **Authorized official phone:** (860) 580-7151

## Contact information

- **Practice address:** 340 BROAD ST, SUITE 305, WINDSOR, CT 06095-3030
- **Practice address phone:** (860) 580-7151
- **Practice address fax:** (860) 580-7152
- **Mailing address:** 340 BROAD ST, SUITE 305, WINDSOR, CT 06095-3030
- **Mailing address phone:** (860) 580-7151
- **Mailing address fax:** (860) 580-7152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | E59052 | CT | — |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 08/11/2014